Abstract

This study explores the psychosocial and practical needs of cancer patients in low-resource hospital settings, with a focus on the role of social workers in oncology care. Using a qualitative design, in-depth interviews were conducted with 20 hospitalized patients in Vietnam. Thematic analysis revealed three interrelated domains of need: (1) psychosocial and emotional counseling, where patients emphasized the importance of empathy, presence, and support in coping with distress; (2) practical and system navigation support, highlighting challenges in managing hospital bureaucracy, financial strain, and access to resources; and (3) family mediation and resource linkage, reflecting tensions within families and the desire for connections to community-based support. Findings underscore that medical treatment alone is insufficient; patients require holistic care that integrates social work expertise. The study recommends strengthening oncology social work services, building interdisciplinary collaboration, and addressing structural barriers to ensure equitable, patient-centered cancer care in low-resource contexts.